Affix

Passport
Size
Photograph
Application Form for Admission to Graduate Studies
Academic Year
2015-2016 ID #

Section A: Your Personal Information

Name in English (as in official documents) Name in Arabic (as in official documents)

First Name _______________________________ ________________________________ ‫االسم األول‬

Father’s Name _______________________________ ________________________________ ‫اسم األب‬

Family Name _______________________________ ________________________________ ‫اسم العائلة‬

Mother’s Name _______________________________ ________________________________ ‫اسم األم‬

Gender Male Marital Status Single Married Place of Birth ________________ Nationality ______________
Female Divorced Widowed
Date of Birth __/__/____

Section B: Your Contact Information

Full Address Electronic Emergency Contact
Building ……………..…….…. Floor #.. Primary Email …………...……..….……….. Full name ..…………………….…..….
Street …………………….……....…. Secondary Email ……………….……….....….. Relation .……………………………
City ……………………………….. Primary Mob 00 _ _ _ /_ _ _ _ _ _ _ _ _ _ _ Mob 00 _ _ _ /_ _ _ _ _ _ _ _ _ _ _
Country …………………………....….. Secondary Mob 00 _ _ _ /_ _ _ _ _ _ _ _ _ _ _ Tele 00 _ _ _ /_ _ _ _ _ _ _ _ _ _ _

Section C: Admission Date & Program

Anticipated Semester Fall 20 _ _ Degree Applied For Master’s Programs interested in (by priority)
Spring 20 _ _ PHD 1st Choice …………………….……...
Other………………….
2nd Choice …………………………....
Faculty ………………………………. Department ………………………………….. 3rd Choice …………………………....

Have you previously applied for admission to BAU, if Yes indicate the following
Degree applied for …….……………....................... Semester / year ………………………….. Accepted
Not Accepted
Section D: Details of your previous Education beyond High School

Date of Attendance Type of

University/ Institution Country From To Degree Name of Year CGPA
(list most recent first) Month Year Month Year received Certificates received /%
_ _ /_ _ _ _ _ _ /_ _ _ _ _ _ /_ _ _ _
_ _ /_ _ _ _ _ _ /_ _ _ _ _ _ /_ _ _ _
_ _ /_ _ _ _ _ _ /_ _ _ _ _ _ /_ _ _ _

Section E: English Language & Requirements

Second Language English English Exam Score TOEFL ___
French (if available) IELTS _
Other ………………………….
Section F: Employment
Present Employment Previous Position (if any)

Job Title of the Applicant …………………..…………………. Job Title of the Applicant …………………..………………….

Nature of Responsibilities …………………..…………………. Nature of Responsibilities …………………..………………….

Dates in this Position From…………………..…………… Dates in this Position From…………………..……………

To……………………………...…… To……………………………...……

Name of Employer …………………..…………………. Name of Employer …………………..………………….

Address of Employer …………………..…………………. Address of Employer …………………..………………….

Section G: On the lines below write, in your own handwriting and in English, a summary on your background and
reasons for pursuing graduate program. In addition, state your current career objectives and how you
expect the program to enhance your career options.

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Section H: Applicant Certification

I will abide by the university regulations concerning application deadlines and admission requirements. I certify that the information given
in this application is complete, accurate and true to the best of my knowledge and I agree to notify the University promptly if any
information contained on this application form should change, in order to keep it complete.
I understand that providing incomplete, incorrect or fraudulent information may result in denial of my admission.

Applicant Name/Other: …………………….………………. Signature ……………………………..…. Date: _ _ / _ _ / 20_ _

Section I : For Office Use Only

Program: ………………………………………………….…......
Approved
Denied
Approved Under Conditions ………………………………………………………………………...……..….…

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Dean Signature: ……………………………………………… Date: _ _ / _ _ / 20_ _